Vital signs | 3 | 2 | 1 | 0 | 1 | 2 | 3 |
SysBP (mm Hg) | < 70 | ≥70 - < 80 | ≥80 - < 100 | ≥100 - < 200 | ≥200 | ||
HR (beats pr. min) | < 40 | ≥40 - < 50 | ≥50 - < 90 | ≥90 - < 110 | ≥110 - < 130 | ≥130 | |
Temp. (°C) | < 34 | ≥34 - < 36 | ≥36 - < 38 | ≥38 - < 39 | ≥39 - < 40 | ≥40 | |
RR (breaths pr. min) | < 9 | ≥9 - < 12 | ≥12 - < 21 | ≥21 - < 25 | ≥25 | ||
SAT (%) | < 85 | ≥85 - < 90 | ≥90 - < 93 | ≥ 93 | |||
LOC | Agitated | A | V | P | U |